Individual
DR. LOUIS H. HEITKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 E JOHNSON ST, MADISON, WI 53703-2120
(608) 257-0116
(608) 257-8901
Mailing address
122 E JOHNSON ST, MADISON, WI 53703-2120
(608) 257-0116
(608) 257-8901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2469
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33406200
—
WI
Enumeration date
07/23/2008
Last updated
07/30/2008
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